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Alignment Health
Overview
Coordinate safe transitions for patients moving from hospitals or skilled nursing facilities back to their homes. Create individualized discharge plans and collaborate with providers, rehab facilities, and home health agencies.
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Compensation
$85,696 - $128,543 / YEAR
Posted
9 days ago
Adoration Home Health and Hospice
The Utilization Review Nurse processes authorization requests and clinical inquiries according to plan benefits and established guidelines, collaborating with internal teams like inpatient review nurses and Medical Directors to ensure timely determinations for medical services. Responsibilities include performing reviews for various services, consulting with Medical Directors when criteria are not met, and communicating decisions to providers and members.
Salary not listed
2 months ago
